Marillac Clinic, Inc.

LBN: Marillac Clinic, Inc.
Marillac Clinic, Inc. is an health care organization with primary practice located at 2333 N 6Th St , Grand Junction CO 81501. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Marillac Clinic, Inc. can be contacted via phone (970) 298-2235, or through Ramachandran, Lata via phone (970) 298-2235.

Contact Information

Primary practice address
2333 N 6Th St Grand Junction CO 81501
Phone: (970) 298-2235
Fax: (970) 298-1711
Website:
Map and Directions
Authorized official contact:
Name: Ramachandran, Lata
Phone: (970) 298-2235

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X

Profile Details

NPI number 1871865576
LBN Legal business name Marillac Clinic, Inc.
DBA Doing business as
Authorized official Ramachandran, Lata
Entity Organization
Organization subpart 1 No
Enumeration date Jan 27th, 2012
Last updated Sep 21st, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871865576 NPPES
Colorado MEDICAID 37902041

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